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Meta-analysis of the prognostic role of perioperative platelet count in posthepatectomy liver failure and mortality

BACKGROUND: Emerging evidence suggests that the perioperative platelet count (PLT) can predict posthepatectomy liver failure (PHLF). In this systematic review and meta-analysis, the impact of perioperative PLT on PHLF and mortality was evaluated. - METHODS: MEDLINE and Web of Science databases were...

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Main Authors: Mehrabi, Arianeb (Author) , Golriz, Mohammad (Author) , Khajeh, Elias (Author) , Ghamarnejad, Omid (Author) , Probst, Pascal (Author) , Fonouni, Hamidreza (Author) , Mohammadi, Sara (Author) , Weiss, Karl Heinz (Author) , Büchler, Markus W. (Author)
Format: Article (Journal)
Language:English
Published: 12 July 2018
In: The British journal of surgery
Year: 2018, Volume: 105, Issue: 10, Pages: 1254-1261
ISSN:1365-2168
DOI:10.1002/bjs.10906
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1002/bjs.10906
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Author Notes:A. Mehrabi, M. Golriz, E. Khajeh, O. Ghamarnejad, P. Probst, H. Fonouni, S. Mohammadi, K.H. Weiss, M.W. Büchler
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Summary:BACKGROUND: Emerging evidence suggests that the perioperative platelet count (PLT) can predict posthepatectomy liver failure (PHLF). In this systematic review and meta-analysis, the impact of perioperative PLT on PHLF and mortality was evaluated. - METHODS: MEDLINE and Web of Science databases were searched systematically for relevant literature up to January 2018. All studies comparing PHLF or mortality in patients with a low versus high perioperative PLT were included. Study quality was assessed using methodological index for non-randomized studies (MINORS) criteria. Meta-analyses were performed using Mantel-Haenszel tests with a random-effects model, and presented as odds ratios (ORs) with 95 per cent confidence intervals. - RESULTS: Thirteen studies containing 5260 patients were included in the meta-analysis. Two different cut-off values for PLT were used: 150 and 100/nl. Patients with a perioperative PLT below 150/nl had higher PHLF (4 studies, 817 patients; OR 4·79, 95 per cent c.i. 2·89 to 7·94) and mortality (4 studies, 3307 patients; OR 3·78, 1·48 to 9·62) rates than patients with a perioperative PLT of 150/nl or more. Similarly, patients with a PLT below 100/nl had a significantly higher risk of PHLF (4 studies, 949 patients; OR 4·65, 2·60 to 8·31) and higher mortality rates (7 studies, 3487 patients; OR 6·35, 2·99 to 13·47) than patients with a PLT of 100/nl or greater. - CONCLUSION: A low perioperative PLT correlates with higher PHLF and mortality rates after hepatectomy.
Item Description:Gesehen am 25.03.2020
Physical Description:Online Resource
ISSN:1365-2168
DOI:10.1002/bjs.10906

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